Youth Group 2017 Family Retreat Registration

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Youth Group Students Registration Form:

Dates
• Friday January 13th
• Saturday January 14th

Locations:
• Friday Night and Saturday
• CUCC Sanctuary and Basement | 805 S. 6th Street | Champaign, IL

Registration:
will be at Presby Hall Lounge / McKinley Foundation Church (809 S. 5th Street | Champaign, IL)
• A-K: 5:00PM Registration / Dinner
• L-Z: 6:00PM Registration / Dinner
* after registration and dinner we will be walking together to CUCC
** if you arrive after 7:15PM Please come directly to CUCC

Cost: $30
• Quick Pay / Check / Cash (see Payment Option below)

Questions please email:
• Joe Tek at joetekyun@gmail.com
• Eddie at edwinlee12@gmail.com
• Gee at geechung@gmail.com

More information about drop off and pickup times will be emailed closer to the retreat date.

Since this is a Family Retreat, parents are welcome to attend the Adult portion of the retreat. More information and registration for parents can be found on: https://goo.gl/forms/fNWgAhKkmbAH64Rg2

Payment Option *

• Check and Cash can be brought to the Family Retreat.

Quick Pay: cfcygfund@gmail.com

Check: payable to CFC or Covenant Fellowship Church

Cash

Required

Students Name *

Grade *

6th - 12th or Helper / Staff

Gender *

Male

Female

Meal Information *

Please indicate which meals you will be eating.

do not need

Friday Dinner (5 & 6PM)

Saturday Lunch (12PM)

Saturday Dinner (5PM)

Any know allergies or health conditions

Emergency Contact *

Name of Parent / Guardian - Relationship to Children / Phone

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